Pharm 34

Question 1

Beta blockers (4) (3 trade)

Answer 1

Atenolol (Tenormin)
Metoprolol (Lopressor)
Pindolol
Propranolol (Inderal)

Question 2

Adverse reactions of atenolol (Tenormin)
(9)

Answer 2

Bradycardia
Dizziness
Fatigue
Weakness
Hypotension
Nausea
Vomiting
Diarrhea
Nervousness

Question 3

Antiandrenergic drugs, peripherally acting
1 - 1 trade

Answer 3

Doxazosin (cardura)

Question 4

Contraindications 5

Answer 4

Impaired renal function
Salt or volume depletion
Bilateral stenosis
Angioedema
Pregnancy/lactation

Question 5

ACE inhibitors 2

Answer 5

Captopril
Lisinopril

Question 6

Direct renin inhibitors

Answer 6

Aliskiren

Question 7

Calcium channel blockers 2-1 trade

Answer 7

Amlodipine
Verapamil (calan SR)

Question 8

Interaction: angiotensin ll with fluconazole
Particularly with ___

Answer 8

Increased antihypertrnsive & adverse effects
Losartan

Question 9

Target organs
SATA (3)

Answer 9

Heart
Kidneys
Eyes (renopathy)

Question 10

Hypertension BP

Answer 10

130/80 or higher

Question 11

Prehypertension

Answer 11

Systolic between 120 & 129
Diastolic remains below 80

Question 12

Modifiable risk factors for hypertension
SATA (4)

Answer 12

Obesity
Excessive salt intake/too little potassium
Chronic alcohol consumption
Cigarette smoking

Question 13

Provider may suggest
SATA (6)

Answer 13

Weight loss(if overweight)
Stress reduction(relaxation techniques, meditation, yoga)
Regular aerobic exercise
Quit smoking
Moderate alcohol consumption
Dietary changes (reduce sodium intake)

Question 14

___ promotes the retention of sodium & water which may contribute to a rise in BP

Answer 14

Aldosterone
Action of ACE inhibitors

Question 15

Block the binding of ____ at receptor sites in the vascular smooth muscle & adrenal gland, this blocks the vasoconstriction effect of the ___ system & the release of __ which lowers BP

Answer 15

Angiotensin
Renin angiotensin
Aldosterone

Question 16

Clients taking __\ experience dry cough that does not subside until therapy is D/C

Answer 16

ACEl

Question 17

When administering ___ or ___ monitor for hyperkalemia

Answer 17

Aliskiren
Eplerenone

Question 18

Oral tablet 1-1 trade

Answer 18

Clonidine (catapres)

Question 19

Transdermal patch (1 trade)

Answer 19

Catapres TTS

Question 20

Older adults are particularly sensitive to the HYPOTENSIVE effects of ___

Answer 20

Nitropursside

Question 21

Activity intolerance
SATA (5)

Answer 21

Encourage to walk & ambulate as they can tolerate
Assistive devices used if needed
Gradually increase tolerance by increasing daily amount of activity
Plan periods of rest(sitting in chair, napping, watching tv, sitting w legs elevated)
Reassure fatigue diminishes after 4-6 weeks

Question 22

Skipping doses or voluntarily may cause

Answer 22

Severe rebound hypertension